Okla. Stat. tit. 36, § 36-6963
This is the official text of Okla. Stat. tit. 36, § 36-6963, part of Oklahoma’s Stat. tit. 36, — part of the compiled statutory law of Oklahoma, published by the state as "Stat. tit. 36,." Browse the sections below, each linked to its official government source.
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Health insurer to monitor activities and ensure
Official statutory text
compliance.
A. A health insurer shall be responsible for monitoring all
activities carried out by, or on behalf of, the health insurer under
the Patient's Right to Pharmacy Choice Act, and for ensuring that
all requirements of this act are met.
B. Whenever a health insurer contracts with another person to
perform activities required under this act, the health insurer shall
be responsible for monitoring the activities of that person with
whom the health insurer contracts and for ensuring that the
requirements of this act are met.
C. An individual may be notified at the point of sale when the
cash price for the purchase of a prescription drug is less than the
individual's copayment or coinsurance price for the purchase of the
same prescription drug.
D. A health insurer or pharmacy benefits manager (PBM) shall
not restrict an individual's choice of in-network provider for
prescription drugs.
E. An individual's choice of in-network provider may include a
retail pharmacy or a mail-order pharmacy. A health insurer or PBM
shall not restrict such choice. Such health insurer or PBM shall
not require or incentivize using any discounts in cost-sharing or a
reduction in copay or the number of copays to individuals to receive
prescription drugs from an individual's choice of in-network
pharmacy.
F. A health insurer, pharmacy or PBM shall adhere to all
Oklahoma laws, statutes and rules when mailing, shipping and/or
causing to be mailed or shipped prescription drugs into the State of
Oklahoma.
A. A health insurer shall be responsible for monitoring all
activities carried out by, or on behalf of, the health insurer under
the Patient's Right to Pharmacy Choice Act, and for ensuring that
all requirements of this act are met.
B. Whenever a health insurer contracts with another person to
perform activities required under this act, the health insurer shall
be responsible for monitoring the activities of that person with
whom the health insurer contracts and for ensuring that the
requirements of this act are met.
C. An individual may be notified at the point of sale when the
cash price for the purchase of a prescription drug is less than the
individual's copayment or coinsurance price for the purchase of the
same prescription drug.
D. A health insurer or pharmacy benefits manager (PBM) shall
not restrict an individual's choice of in-network provider for
prescription drugs.
E. An individual's choice of in-network provider may include a
retail pharmacy or a mail-order pharmacy. A health insurer or PBM
shall not restrict such choice. Such health insurer or PBM shall
not require or incentivize using any discounts in cost-sharing or a
reduction in copay or the number of copays to individuals to receive
prescription drugs from an individual's choice of in-network
pharmacy.
F. A health insurer, pharmacy or PBM shall adhere to all
Oklahoma laws, statutes and rules when mailing, shipping and/or
causing to be mailed or shipped prescription drugs into the State of
Oklahoma.
Status: in_force · Read it on the official government site
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